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AIBU?

Share your dilemmas and get honest opinions from other Mumsnetters.

To ask anyone in the NHS how day surgery lists are determined?

516 replies

ScuderiaSedici · 30/07/2025 14:43

As above

OP posts:
ScuderiaSedici · 30/07/2025 21:26

Morphingirl · 30/07/2025 21:25

They would have known if you needed them . You don't always need an MRSA swab it depends on the hospital trust policy. In my trust it's only if you've been admitted to a different hospital in a different trust in the last 12 months. Also I've read through the thread and if you suspect you have autism I'd reccomend talking it through with a gp to get a nhs diagnosis ( it's a long process but free) . I'm currently an inpatient and when I spoke to the nurses about it they've made adjustments for me .

I’ve just not found my GP surgery very helpful when it comes to anything even close to mental health related

OP posts:
SomethingDifferentBloomed · 30/07/2025 21:26

ScuderiaSedici · 30/07/2025 21:23

Thank god! This is why im struggling - because it’s all the little details I obsess over, but I’ve had little to no guidance. It literally just says “shower the night before”

That’s because they just want you to be clean. If you’d not showered for a week you’d have all sorts of germs on you and be more likely to get a wound infection, so they want to make sure you’ve showered recently.

youalright · 30/07/2025 21:25

ScuderiaSedici · 30/07/2025 21:23

Thank god! This is why im struggling - because it’s all the little details I obsess over, but I’ve had little to no guidance. It literally just says “shower the night before”

You really dont need to do anything just turn up clean and with an empty tummy and you will be grand and they will take it from their

Morphingirl · 30/07/2025 21:25

They would have known if you needed them . You don't always need an MRSA swab it depends on the hospital trust policy. In my trust it's only if you've been admitted to a different hospital in a different trust in the last 12 months. Also I've read through the thread and if you suspect you have autism I'd reccomend talking it through with a gp to get a nhs diagnosis ( it's a long process but free) . I'm currently an inpatient and when I spoke to the nurses about it they've made adjustments for me .

ScuderiaSedici · 30/07/2025 21:23

Greybeardy · 30/07/2025 21:21

Am sure that’d be fine!

Thank god! This is why im struggling - because it’s all the little details I obsess over, but I’ve had little to no guidance. It literally just says “shower the night before”

OP posts:
nonevernotever · 30/07/2025 21:23

I've had numerous days surgery operations ranging from the simple to the complex. I was always on the morning list, but for one (removing part of my meniscus) the operations before me all overran and I was eventually operated on about 3.30 pm. I've only ever once supposed to be first on the list but as soon as the anaesthetist saw the list I was moved to last because it was a "dirty operation " (Botox for an anal fissure) and it was easier to put me last so that there was longer to clean the operating theatre completely before the afternoon list. As far as I'm concerned there will be a million factors for them to consider and that's their job. If you're really worried about fasting that long, could you not change your habits for one day and eat later, even if it's just adding a slice of toast late in the evening?

FurForksSake · 30/07/2025 21:23

Britneyfan · 30/07/2025 21:18

Definitely the paeds surgeons would make more of an effort to come and speak to you afterwards! Different in adult life I think.

Yes, with paeds and major surgery much more routine to be seen afterwards. Day surgery where I’ve had surgery and have worked it’s just not feasible for them to see everyone and get everything else done and there is the hope that you can be discharged quickly and then have a post-op follow up in clinic if needed.

Woodwalk · 30/07/2025 21:22

Most of what you're worrying about you don't need to.

I had emergency surgery earlier this year. Started out a normal day, I washed, used deodorant, lotion, went for a walk and then started to feel in agonizing pain.

Within 2 hours of a doctor seeing me I was being taken into surgery that I had no idea I would be having when I woke up that day. They scraped my consent and I scrawled some papers as I was being wheeled away off my nut on drugs. I was kept waiting those two hours as I'd eaten multiple times that day, but it was still only 6 hours since my last meal at the point I went under. Id been drinking from a bottle of water whilst in the car being driven to hospital.

I tell you this for two reasons:

  1. You don't need to be so worried about food and drink and wait from the previous afternoon. Have some toast before bed, sip water when you first wake up. Don't worry about showering and grooming just don't go overboard.
  1. The surgeon who operated on me almost certainly was lined up to operate on someone else that day. But then I arrived, and without the surgery I had, on the day I had it, I would have died. Not could have died, would have died. I would be dead. That is the reality of hospitals, things move, plans change, priorities shift. I've had some absolutely terrible NHS experiences but the day they saved my life was insane in the best way and it really showed me that actually, for the things that are life or death, they are amazing. Sadly that is usually at the expense of being amazing at routine stuff. Id rather they be amazing at both, but id rather it be the way it is then the other way round.
Greybeardy · 30/07/2025 21:21

ScuderiaSedici · 30/07/2025 21:13

Would it be really naughty if I put some on my elbows 🤣

Am sure that’d be fine!

Britneyfan · 30/07/2025 21:20

ScuderiaSedici · 30/07/2025 21:16

See this is where my head goes though. It says I should have one, I’ve not, so now I’m worried I’ve gone something wrong.

Yeah I get it but it definitely won’t be your fault if there is an issue. They may well have decided they’re not necessary or just do them on the day. That’s much more likely. Try not to obsess over such a small detail, I know it’s hard. I agree it might be good to get stuck into a book or TV show or something to take your mind off it all for now. It will be fine!

Britneyfan · 30/07/2025 21:18

Kirbert2 · 30/07/2025 21:02

We always saw my son's surgeons after his surgeries. To be fair, his early surgeries were all unplanned, his first ever surgery was an emergency one but even with his last surgery which was planned and relatively routine (It did unexpectedly take 5 hours instead of the planned 2 hours, my son can't do anything the easy way apparently!) we saw his surgeon afterwards.

Unless that's just a paeds surgery thing?

Definitely the paeds surgeons would make more of an effort to come and speak to you afterwards! Different in adult life I think.

ScuderiaSedici · 30/07/2025 21:17

youalright · 30/07/2025 21:16

Don't chew gum either i have no idea why but I was asked this before surgery once

Yes, my paperwork says not to!

OP posts:
Bookloveruk · 30/07/2025 21:17

MatildaTheCat · 30/07/2025 19:45

STOP EVERYONE, PLEASE!

@ScuderiaSedici has been posting relentlessly on this and at least one other thread all day. Not once has she thanked any of the many people who have experience in the field for their advice and she has become ruder and ruder in her responses. She hasn’t listened to anyone and has cherry picked the information to ‘nobody cares about me, knows how to do their job and I will be left starving all day long while others less deserving than me are seen.’

Let’s stop feeding this one and send our sympathies to the staff who are blessed with her company.

Thank you for this post. It was really needed. . Can I just say well done to everyone who works in the NHS who has to put up with complaints and crap about nothing. Be grateful you are getting the treatment you need and accept others may just have more urgent need. And I don’t work in NHS myself

youalright · 30/07/2025 21:17

ScuderiaSedici · 30/07/2025 21:16

See this is where my head goes though. It says I should have one, I’ve not, so now I’m worried I’ve gone something wrong.

You've done nothing wrong iv often had them the day of

youalright · 30/07/2025 21:16

Don't chew gum either i have no idea why but I was asked this before surgery once

ScuderiaSedici · 30/07/2025 21:16

Britneyfan · 30/07/2025 21:14

I think that’s pretty unlikely, if it was important for this procedure then pre-op would have arranged the swabs. Don’t stress over that, it will be fine.

See this is where my head goes though. It says I should have one, I’ve not, so now I’m worried I’ve gone something wrong.

OP posts:
youalright · 30/07/2025 21:14

MoralHighGroundGrandWizard · 30/07/2025 21:12

I work for 3 depts - all lists are mixed at my trust godchildren first

You learn something new everyday

Britneyfan · 30/07/2025 21:14

ScuderiaSedici · 30/07/2025 21:12

If just feels quite unfair that it could end up cancelled because of something I didn’t even do wrong

I think that’s pretty unlikely, if it was important for this procedure then pre-op would have arranged the swabs. Don’t stress over that, it will be fine.

ScuderiaSedici · 30/07/2025 21:13

Greybeardy · 30/07/2025 21:13

Body lotion/facial moisturisers make it difficult to get any of the monitoring (ecg dots)/dressings to stick. Not a scooby why deodorant comes up…unless it’s armpit surgery that shouldn’t make a difference.

Would it be really naughty if I put some on my elbows 🤣

OP posts:
Morphingirl · 30/07/2025 21:13

Oh wow ! . So I used to be last on the lists for day surgery due to being"healthy" . Turns out bc of my pain condition I have an extremely high tolerance to Anaesthetics and painkillers . Anyway I've had 3 day surgeries and 2 I was last on the list - one I went down at 4pm. The last surgery I had was a follow on from a previous surgery with the same team as my previous one and because I'm given stronger and higher doses of pain relief and need longer in recovery I would go first . If you are that concerned around fasting for too long then you can get up before the nil by mouth time and have a snack but there's a reason why there's an order to a list .

youalright · 30/07/2025 21:13

MrsKateColumbo · 30/07/2025 20:57

I was just saying what my local hospital does. They do a groin swab when you first check in and ask you to do a pregnancy test (but maybe NHS dont do this?). I always find the pregnancy test tricky as I obviously haven't weed for ages! They ask for all girls/women age 12-50 to do it but maybe this is just the two I use. All you do is wee in a cup

Iv always been nhs and they've always done these things unless im on my period then they dont ask for the pregnancy test. But 9 times out of 10 I seem to be as stress seems to bring it on for me

Greybeardy · 30/07/2025 21:13

ScuderiaSedici · 30/07/2025 21:07

@Greybeardy- why is so much of the advice online to not wear deodorant or body lotion? My letter doesn’t mention it explicitly but a lot of the stuff online says not to (and is it a problem that I put it on after my shower?)

Body lotion/facial moisturisers make it difficult to get any of the monitoring (ecg dots)/dressings to stick. Not a scooby why deodorant comes up…unless it’s armpit surgery that shouldn’t make a difference.

Britneyfan · 30/07/2025 21:13

Greybeardy · 30/07/2025 20:53

If it’s a severe latex allergy but there’s another patient who needs to go first you can either treat the other patient as latex allergic too or pause the list between cases to allow any latex to be cleared from the air. Latex-free sterile gloves feel very different to do procedures in so a lot of surgeons don’t like using them unless it’s really needed (as surgery depends very much on feel), but if there’s no alternative they just have to. Most kit apart from gloves is now latex free.

Ah ok that makes sense then, they must have done one or the other! I totally understand what you mean about non latex gloves as I’m a GP and the non latex ones just aren’t as good, especially the cheaper end ones (which of course is what the NHs likes us to have 🤣). But luckily I don’t have a lot of call for it in my work at least now we are past 2020! Can I ask as I’m thinking maybe you’re a surgeon, do you know what the sticky stuff is for surgical drapes? Because I came up in an awful clearly allergic rash (in a square pattern lol) to that after my op! So must be allergic to something in that too for goodness sake. I know I am allergic to Elastoplast but I did tell them that.

Blushingm · 30/07/2025 21:12

SpringSpruce · 30/07/2025 20:59

I didn't realise latex could be airbourne. I'm surprised that hasn't pushed them to remove it from use at all.

I can’t have nitrile gloves - only latex. If they use nitrile on me I have an allergic reaction - it’s even worse if the gloves are blue. Natural coloured latex gloves are all I can use

im also a nurse so can’t see patients who have a latex allergy

MoralHighGroundGrandWizard · 30/07/2025 21:12

youalright · 30/07/2025 19:20

Iv never been to a hospital where its been mixed.

I work for 3 depts - all lists are mixed at my trust godchildren first